Active NPI
Elizabeth Mary Burmeister, LISW, ACHP-S
- Clinical Social Worker
- Flagstaff, AZ
National Provider Identifier
1255689535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I 1501138
- Practice address
- 11463 N Lilac LN
Flagstaff, AZ 86004-5609 - Phone
- (440) 773-5102
- NPI assigned
- Aug 17, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LMSW-12542 | AZ | |
| Clinical Social Worker | 1041C0700X | I 1501138 | OH | Primary |
Addresses
Primary practice location
11463 N Lilac LN
Flagstaff, AZ 86004-5609
Mailing address
11463 N Lilac LN
Flagstaff, AZ 86004-5609
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-12542 | AZ | MD | Social Worker |
| I 1501138 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455062400000",
"number": "1255689535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11463 N LILAC LN",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860045609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11463 N LILAC LN",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860045609",
"telephone_number": "440-773-5102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURMEISTER",
"first_name": "ELIZABETH",
"middle_name": "MARY",
"credential": "LISW, ACHP-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-17",
"last_updated": "2016-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AZ",
"license": "LMSW-12542",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I 1501138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.